Organization Active NPI

Dr. Judith Thompson MD PA

  • Surgery Physician
  • New Braunfels, TX
National Provider Identifier
1891988416
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K1098 Issued in TX
Legal business name
DR. JUDITH THOMPSON MD PA
Practice address
876 Loop 337
BLDG 101
New Braunfels, TX 78130-3518
Phone
(830) 624-7993
Fax
(830) 643-0737
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Judith Lynn Thompson, MDNPI 1053359315
Title
President
Phone
(830) 624-7993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X K1098 TX Primary

Addresses

Primary practice location

876 Loop 337
BLDG 101
New Braunfels, TX 78130-3518

Mailing address

876 Loop 337
BLDG 101
New Braunfels, TX 78130-3518
Phone (830) 624-7993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050111000681 TX Part B Supplier - Clinic/Group Practice 2567410020 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

921 Lakeview Blvd
#300
New Braunfels, TX 78130
Phone (830) 624-7993

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1891988416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 LOOP 337",
            "address_2": "BLDG 101",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303518",
            "telephone_number": "830-624-7993",
            "fax_number": "830-643-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 LOOP 337",
            "address_2": "BLDG 101",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303518",
            "telephone_number": "830-624-7993",
            "fax_number": "830-643-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JUDITH THOMPSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-624-7993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "K1098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.